Empowering primary care to tackle the obesity epidemic : the Counterweight Programme
McQuigg, M., Brown, Jenny, Broom, John, Laws, R. A., Reckless, J. P. D. (John P. D.), Noble, Paula, Kumar, Sudhesh, McCombie, E. L., Lean, M. E. J., Lyons, G. Felicity, Frost, G. S., Quinn, Marney, Barth, Julian H., Haynes, S. M., Finer, N., Ross, H. M. and Hole, David (2005) Empowering primary care to tackle the obesity epidemic : the Counterweight Programme. European Journal of Clinical Nutrition, Volume 59 (Supplement 1). S93-S100. ISSN 0954-3007Full text not available from this repository.
Official URL: http://dx.doi.org/10.1038/sj.ejcn.1602180
Objective: To improve the management of obese adults (18-75 y) in primary care.
Design: Cohort study.
Settings: UK primary care.
Subjects: Obese patients (body mass index >= 30 kg/m(2)) or BMI >= 28 kg/m(2) with obesity-related comorbidities in 80 general practices.
Intervention: The model consists of four phases: (1) audit and project development, (2) practice training and support, (3) nurse-led patient intervention, and (4) evaluation. The intervention programme used evidence-based pathways, which included strategies to empower clinicians and patients. Weight Management Advisers who are specialist obesity dietitians facilitated programme implementation.
Main outcome measures: Proportion of practices trained and recruiting patients, and weight change at 12 months.
Results: By March 2004, 58 of the 62 (93.5%) intervention practices had been trained, 47 (75.8%) practices were active in implementing the model and 1549 patients had been recruited. At 12 months, 33% of patients achieved a clinically meaningful weight loss of 5% or more. A total of 49% of patients were classed as 'completers' in that they attended the requisite number of appointments in 3, 6 and 12 months. 'Completers' achieved more successful weight loss with 40% achieving a weight loss of 5% or more at 12 months.
Conclusion: The Counterweight programme provides a promising model to improve the management of obesity in primary care.
|Item Type:||Journal Article|
|Subjects:||R Medicine > RA Public aspects of medicine|
|Divisions:||Faculty of Medicine > Warwick Medical School > Translational & Systems Medicine > Metabolic and Vascular Health
Faculty of Medicine > Warwick Medical School
|Journal or Publication Title:||European Journal of Clinical Nutrition|
|Publisher:||Nature Publishing Group|
|Official Date:||August 2005|
|Number of Pages:||8|
|Access rights to Published version:||Restricted or Subscription Access|
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